Rhinolithiasis caused by Actinomyces with a foreign body

A 39-year-old man presented with chief complaints of epistaxis and pain on the right cheek that lasted for approximately 2 months. A very hard calcified black mass with a foreign body was found in the right inferior nasal meatus. The patient underwent endoscopic endonasal surgery and antimicrobial t...

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Main Authors: Teru Kamogashira, Naoyuki Matsumoto, Satoe Numakura, Yoshinao Kikuchi, Ken Ito
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250920300263
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spelling doaj-c18148e1f33e46a5aedd983f7f251bbf2021-07-02T12:23:44ZengElsevierIDCases2214-25092020-01-0119Rhinolithiasis caused by Actinomyces with a foreign bodyTeru Kamogashira0Naoyuki Matsumoto1Satoe Numakura2Yoshinao Kikuchi3Ken Ito4Department of Otolaryngology, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, Japan; Department of Otorhinolaryngology and Head & Neck Surgery, The University of Tokyo Hospital, 7-3-1 Hongo Bunkyo-ku, Tokyo, 113-8655, Japan; Corresponding author at: Department of Otolaryngology, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, Japan.Department of Otolaryngology, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, JapanDepartment of Pathology, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, Japan; Department of Pathology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, JapanDepartment of Pathology, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, Japan; Department of Pathology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, JapanDepartment of Otolaryngology, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-Ku, Tokyo, 173-8606, JapanA 39-year-old man presented with chief complaints of epistaxis and pain on the right cheek that lasted for approximately 2 months. A very hard calcified black mass with a foreign body was found in the right inferior nasal meatus. The patient underwent endoscopic endonasal surgery and antimicrobial therapy, which included intravenous injection of Penicillin G 4 million units 6 times/day for 1 week and oral amoxicillin 1500 mg/day for 6 months. Actinomyces species was identified from the calcified foreign body that measured 5 mm in size. There was no recurrence for 1 year after the surgery. Surgical removal and long-term high-dose penicillin for 6 months or longer are necessary because death caused by poor compliance with antibiotics have been reported in previous studies. Keywords: Rhinolithiasis, Actinomyceshttp://www.sciencedirect.com/science/article/pii/S2214250920300263
collection DOAJ
language English
format Article
sources DOAJ
author Teru Kamogashira
Naoyuki Matsumoto
Satoe Numakura
Yoshinao Kikuchi
Ken Ito
spellingShingle Teru Kamogashira
Naoyuki Matsumoto
Satoe Numakura
Yoshinao Kikuchi
Ken Ito
Rhinolithiasis caused by Actinomyces with a foreign body
IDCases
author_facet Teru Kamogashira
Naoyuki Matsumoto
Satoe Numakura
Yoshinao Kikuchi
Ken Ito
author_sort Teru Kamogashira
title Rhinolithiasis caused by Actinomyces with a foreign body
title_short Rhinolithiasis caused by Actinomyces with a foreign body
title_full Rhinolithiasis caused by Actinomyces with a foreign body
title_fullStr Rhinolithiasis caused by Actinomyces with a foreign body
title_full_unstemmed Rhinolithiasis caused by Actinomyces with a foreign body
title_sort rhinolithiasis caused by actinomyces with a foreign body
publisher Elsevier
series IDCases
issn 2214-2509
publishDate 2020-01-01
description A 39-year-old man presented with chief complaints of epistaxis and pain on the right cheek that lasted for approximately 2 months. A very hard calcified black mass with a foreign body was found in the right inferior nasal meatus. The patient underwent endoscopic endonasal surgery and antimicrobial therapy, which included intravenous injection of Penicillin G 4 million units 6 times/day for 1 week and oral amoxicillin 1500 mg/day for 6 months. Actinomyces species was identified from the calcified foreign body that measured 5 mm in size. There was no recurrence for 1 year after the surgery. Surgical removal and long-term high-dose penicillin for 6 months or longer are necessary because death caused by poor compliance with antibiotics have been reported in previous studies. Keywords: Rhinolithiasis, Actinomyces
url http://www.sciencedirect.com/science/article/pii/S2214250920300263
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AT yoshinaokikuchi rhinolithiasiscausedbyactinomyceswithaforeignbody
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